Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Vandyke

Individual provider Clinical Social Worker · NPI 1346069432

Kylie Vandyke is a Clinical Social Worker in Decatur, Illinois. Qualified in 2022, 4 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2024

Practice location Address checks out

102 W Kenwood Ave
Decatur, IL 62526-4368
Phone: (217) 520-1047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.030902 (IL)

Record details

NPI number1346069432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address102 W Kenwood Ave, Decatur, IL 62526-4368

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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